Organization
PEDIATRIC ENDOCRINE SPECIALTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD J. HEIZE M. D. (PHYSICIAN)
(803) 865-6008
Entity
Organization
Contact information
Practice address
3000 NE MEDICAL PARK, SUITE 212, COLUMBIA, SC 29223-6251
(803) 865-6008
(803) 865-6018
Mailing address
3000 NE MEDICAL PARK, SUITE 212, COLUMBIA, SC 29223-6251
(803) 865-6008
(803) 865-6018
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19871
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19871
DR. HEIZE'S SC MED LIC #
SC
05
—
GP3583
—
SC
Enumeration date
03/22/2006
Last updated
08/22/2020
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